Beau G Bortel in Maumee - Podiatrist

Beau G Bortel - NPI 1952415101

Beau G Bortel is a Podiatrist in Maumee, Ohio. Beau G Bortel practices all healthcare services and medical treatments related to Podiatrist. The NPI Number for Beau G Bortel is 1952415101. The last update date is 2016-03-21.

Beau G Bortel's current location address is 5757 Monclova Rd, Maumee, Ohio. You can contact this provider via phone number 4198935757 and fax number 4198935399. The mailing address for Beau G Bortel is 5757 Monclova Rd, Maumee, Ohio. To know further, please read the information below!

Provider Profile Detail

Provider Name Beau G Bortel
Address 5757 Monclova Rd, Maumee, Ohio
Phone Number 4198935757
Fax Number 4198935399
Sole Proprietor Y
Credentials DPM

NPI Number Detail

NPI Number 1952415101
Provider Enumeration Date 2006-08-17
Last Updated Date 2016-03-21

Provider Mailing Address Detail

Address 5757 Monclova Rd
City Maumee
State Ohio (OH)
Post Code 435371863
Phone Number 4198935757
Fax Number 4198935399

Provider's Primary Taxonomy Detail

Speciality Podiatrist
Taxonomy 213E00000X
Licence No 36003428
Definition:
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2678697 OH --
P00327423 OH RAILROAD MEDICARE

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FAQs about Beau G Bortel

What is the Beau G Bortel's unique identification number?

The Beau G Bortel has been assigned the NPI (National Provider Identifier) Number 1952415101 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Beau G Bortel?

The Beau G Bortel is situated at 5757 Monclova Rd, in the city of Maumee, state of OH, with the zip code 435371863.

What is Beau G Bortel's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Beau G Bortel is Podiatrist, and the corresponding taxonomy classification code for this specialized field is 213E00000X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1952415101 to Beau G Bortel?

The Centers for Medicare & Medicaid Services originally issued the 1952415101 to Beau G Bortel on 2006-08-17.

As of what date was the information regarding Beau G Bortel, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Beau G Bortel, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2016-03-21.

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